Pharmacokinetics of Piperacillin-Tazobactam in Anuric Intensive Care Patients during Continuous Venovenous Hemodialysis

Author:

Mueller Silke C.1,Majcher-Peszynska Jolanta1,Hickstein Heiko2,Francke Astrid3,Pertschy Annette4,Schulz Martin2,Mundkowski Ralf1,Drewelow Bernd1

Affiliation:

1. Department of Clinical Pharmacology, Institute of Experimental and Clinical Pharmacology and Toxicology

2. Clinic for Internal Medicine

3. Clinic for Anesthesiology and Intensive Care Medicine

4. Clinic for Surgery, University of Rostock, D-18057 Rostock, Germany

Abstract

ABSTRACT The pharmacokinetics of piperacillin-tazobactam were investigated in eight anuric intensive care patients treated by continuous venovenous hemodialysis (CVVHD). The elimination half-life of piperacillin was 4.3 ± 1.2 h, and that of tazobactam was 5.6 ± 1.3 h. The contribution of CVVHD to the overall elimination was relevant (>25%) for both drugs.

Publisher

American Society for Microbiology

Subject

Infectious Diseases,Pharmacology (medical),Pharmacology

Reference21 articles.

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3. Derendorf, H., and T. Dalla Costa. 1996. Pharmacokinetics of piperacillin, tazobactam and its metabolite in renal impairment. Int. J. Clin. Pharmacol. Ther.34:482-488.

4. Halsstensen, C. E., M. O. Wong, C. A. Johnson, S. W. Zimmerman, J. J. Onorato, W. F. Keane, M. Doepner, L. Sia, K. Tantillo, S. Bansal, O. Kuye, A. Yacobi, R. Faulkner, and C. D. Lathia. 1994. Pharmacokinetics of tazobactam M1 metabolite after administration of piperacillin/tazobactam in subjects with renal impairment. J. Clin. Pharmacol.34:1208-1217.

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